HomeMy WebLinkAbout009743 - HVAC (Add AC) CITY OF OSHKOSH N2 09743
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG K ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - -(2( ACT'
✓ 1"?'Ki.0''2 PLAN NO.
OWNER 4-nGZ'ret / r 1.-e./ ,1 z`'7
DESIGNER �-�G 7
USE/NATURE OF WORK J v/ -/c_ / F 67(..._.5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
7 .
HEATING CONTRACTOR jam'zife"4 _ /- �-'k 7h t``'
g... Heat ❑ A/C p.. Vent ❑ Fuel/System r( Heat Loss , / BTU'S I /i
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /71 __�� ' Permit Fee Paid $ fif C'�� Park Dedication $
ISSUED BY C/i f Date TP0` Final/O.P. /, _Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE .'` ' t---'
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
PERMIT NO. a � � AP PL. DATE ;//y/fZ
ADDRESS ."" d� //c' 7 t/z°�ss���7
OWNER /9 /7 Cj1 e[:L/ j rem
NATURE OF WORK ai i5t/G
HEATING CONTRACTOR J e e e
FUEL: GAS OIL CgrE C SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY "AIR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS "-2�t 51- SYSTEM BTU RATING 1�/.._/-0/9
MISC.
INSP. ROUGH IN FINAL rif jik�'
EST. COST /leV- �`O PERMIT FEES //, ATE PD ,f//' O/
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